Marcel Brus-Ramer MD, PhD, Presenter: Nothing to Disclose

Esther Lim Yuh MD, PhD, Abstract Co-Author: Nothing to Disclose

Jason F. Talbott MD, PhD, Abstract Co-Author: Nothing to Disclose

William P. Dillon MD, Abstract Co-Author: Nothing to Disclose

1. To discuss the typical imaging findings and clinical presentation of spontaneous intracranial hypotension (SIH). 2. To discuss the imaging work-up for several of the most common causes of spinal CSF leaks that can lead to intracranial hypotension. 3. Detail the imaging features of several interesting cases of spinal CSF leak associated with SIH. 4. To discuss the indications and proper technique for image guided blood patching for sites of CSF leak in the spine.

Review of imaging findings and clinical presentation of SIH - Typical imaging and clinical findings of SIH - Additional findings associated with an underlying spinal cause Presentation of interesting cases of spinal CSF leaks leading to or associated with SIH - Iatrogenic: Delayed hardware failure - Perineural cyst/Arachnoid cyst - Discogenic injury - Collagen vascular disease related - Idiopathic spinal cord herniation Discussion of the imaging work-up for spinal leak identification - Cross-sectional imaging - Radionuclide cisternography - Myelography: CT and MR Discussion of blood patch technique - Indications and patient preparation - Pictorial demonstration of technique - Post-procedural imaging and interventional management

http://abstract.rsna.org/uploads/2014/14003669/14003669_uslj.pdf

Brus-Ramer, M, Yuh, E, Talbott, J, Dillon, W, When to Call the (Spinal) Plumber?: Spontaneous Intracranial Hypotension, Typical and Unusual Cases of Spinal Leak, and Blood Patch Treatment.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003669.html